Waldo County General Hospital
118 Northport Ave, Belfast, ME · MaineHealth · · NPI 1841397932
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Explore/treat knee joint CPT 27331 | not published | not published | $461.56 – $1,001.79 | 8 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $392.63 – $856.07 | 8 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $242.28 – $1,182.14 | 9 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $199.72 – $1,108.25 | 9 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $574.33 – $1,224.78 | 8 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $392.23 – $837.76 | 8 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $388.46 – $825.56 | 8 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $1,397.02 – $2,898.28 | 8 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,468.59 – $3,050.09 | 8 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $314.39 – $667.63 | 8 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $120.92 – $255.54 | 8 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $836.85 | $836.85 | $402.28 – $874.36 | 9 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $249.64 – $725.99 | 9 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $325.78 – $702.87 | 8 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $201.73 – $535.13 | 3 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $23.05 – $46.10 | 8 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $1,903.05 | $1,903.05 | $114.53 – $1,792.67 | 9 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $261.41 – $566.65 | 8 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $25.41 – $50.84 | 8 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $1,903.05 | $1,903.05 | $114.53 – $1,792.67 | 9 |
| Extended culture of oocytes CPT 89272 | not published | not published | $4,013.66 – $4,013.66 | 1 |
| Extended steel shank HCPCS L2360 | not published | not published | $46.05 – $122.14 | 3 |
| Extended visual field xm CPT 92083 | not published | not published | $26.26 – $53.54 | 8 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $3.53 – $9.30 | 3 |
| Extension per extension per HCPCS L2760 | not published | not published | $54.07 – $143.43 | 3 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $978.31 – $2,044.24 | 8 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,578.83 – $3,309.70 | 8 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,022.52 – $2,202.85 | 8 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,372.25 – $2,909.11 | 8 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,161.06 – $2,450.26 | 8 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,217.89 – $2,558.69 | 8 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,624.06 – $3,424.26 | 8 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,255.68 – $2,648.17 | 8 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,544.22 – $3,254.13 | 8 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,690.94 – $3,561.84 | 8 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,123.51 – $2,376.37 | 8 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,123.97 – $2,370.94 | 8 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,307.42 – $2,759.33 | 8 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,053.56 – $2,222.50 | 8 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,282.29 – $2,706.46 | 8 |
| Extensive removal of liver CPT 47122 | not published | not published | $3,254.12 – $6,976.61 | 8 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,150.07 – $2,330.22 | 7 |
| Extensive surgery of throat CPT 42842 | not published | not published | $975.03 – $2,053.74 | 8 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,328.36 – $2,794.58 | 8 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,130.61 – $4,459.92 | 8 |
| Extensive testis surgery CPT 54535 | not published | not published | $716.87 – $1,517.60 | 8 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,608.43 – $3,397.81 | 8 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,385.50 – $2,938.26 | 8 |
| External cannula declotting CPT 36860 | not published | not published | $104.42 – $447.80 | 9 |
| External chromosome analysis 20-25 cells CPT 88264 | $415.95 | $415.95 | $147.50 – $391.82 | 9 |
| External newborn metabolic screening panel HCPCS S3620 | $206.55 | $206.55 | $82.97 – $194.57 | 9 |
| External ocular photography CPT 92285 | not published | not published | $2.90 – $6.10 | 8 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $41.70 – $53.90 | 3 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $8,115.31 | 7 |
| External recharg sys extern HCPCS L8695 | not published | not published | $15.49 – $41.09 | 3 |
| External recharg sys intern HCPCS L8689 | not published | not published | $1,605.45 – $4,258.89 | 3 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $349.45 | $349.45 | $87.44 – $329.18 | 9 |
| Extnd color vision xm CPT 92283 | not published | not published | $8.60 – $17.62 | 8 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $71.15 | $71.15 | $14.52 – $39.00 | 9 |
| Extraction of lens CPT 66930 | not published | not published | $818.28 – $1,719.58 | 8 |
| Extraction of lens CPT 66940 | not published | not published | $748.15 – $1,575.89 | 8 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $714.92 – $1,505.40 | 8 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $97.25 – $203.34 | 8 |
| Eye allergy tests CPT 95060 | not published | not published | $34.95 – $80.65 | 8 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $26.53 – $55.25 | 9 |
| Eye Socket (Orbit) X-ray CPT 70200 | $541.25 | $541.25 | $13.34 – $509.86 | 9 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,696.70 | $2,696.70 | $59.55 – $2,540.29 | 9 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,142.00 | $2,142.00 | $53.23 – $2,017.76 | 9 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,959.80 | $1,959.80 | $60.52 – $1,846.13 | 9 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $183.07 – $296.18 | 8 |
| Eye suture during surgery CPT 67335 | not published | not published | $180.46 – $374.83 | 8 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $367.37 | 7 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $592.76 | 7 |
| F-18 fdg pet diag HCPCS A9552 | $355.35 | $355.35 | $142.74 – $334.74 | 9 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,914.55 – $6,746.82 | 3 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $489.60 – $1,035.98 | 3 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $225.44 – $106,089.99 | 3 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,257.26 | 7 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $290.51 – $765.19 | 3 |
| Face bone graft CPT 21210 | not published | not published | $733.94 – $3,381.95 | 9 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,281.05 | $3,281.05 | $100.88 – $3,090.75 | 9 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,397.05 | $2,397.05 | $63.25 – $2,258.02 | 9 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $396.80 | $396.80 | $9.61 – $373.79 | 9 |
| Facial Bones X-ray (complete) CPT 70150 | $503.35 | $503.35 | $12.34 – $474.16 | 9 |
| Facial nerve function test CPT 92516 | not published | not published | $22.33 – $139.42 | 9 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $15,934.02 – $15,934.02 | 1 |
| Factor ix CPT 85250 | $364.35 | $364.35 | $19.04 – $343.22 | 9 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.11 – $7.06 | 8 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.17 – $3.27 | 8 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.94 – $10.29 | 8 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.05 – $2.66 | 8 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.41 – $8.70 | 8 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.37 – $3.27 | 8 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.41 – $3.65 | 8 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.95 – $4.65 | 8 |
| Factor viii CPT 85240 | $278.05 | $278.05 | $17.90 – $261.92 | 9 |
| Factor viii HCPCS J7190 | not published | not published | $0.97 – $2.20 | 8 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.06 – $4.63 | 8 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.22 – $2.45 | 8 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.97 – $4.15 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.